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General NPI Number Information
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NPI Number | 1669402475
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Entity Type | Individual
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Provider Name | TERRY RAY CARNEY OD
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 2144 SW 36TH ST
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City | TOPEKA
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State | KS
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Zip | 66611-2554
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Country | US
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Telephone | 785-266-1100
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Fax | 785-266-2441
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Provider Business Mailing Address
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Address Line | 2144 SW 36TH ST
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City | TOPEKA
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State | KS
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Zip | 66611-2554
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Country | US
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Telephone | 785-266-1100
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Fax | 785-266-2441
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1255-2
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License Number State | KS
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